1, the surgical incision appears red, swollen and painful, fluid outflow, 2 consecutive days of temperature over 38 degrees, no pain in the artificial joint new pain or pain, increased discomfort should come to the hospital in a timely manner. If the patient has stitches at the incision, please return to the hospital or go to the local regular hospital to remove the stitches 2 weeks after the operation.
2, 6 weeks after surgery under the full protection of family members or caregivers to support double crutches or walker affected limb part of the weight-bearing walking, according to the ability to walk, after 6 weeks depending on the patient’s recovery can gradually increase the patient weight-bearing and gradually increase the walking distance and gradually change the double crutches to single crutches until abandoned crutches. It is recommended that patients should walk with a cane for the rest of their lives (under the guidance of your surgeon) in order to reduce the weight of the artificial joint. Prevent falls to avoid fractures, joint dislocation, etc.
3, 3 months after surgery, preferably within six months, the following activities are prohibited: principle: hip joint activities should not exceed the following angles: hip flexion 90 degrees, 20 degrees of adduction, 20 degrees of internal rotation; 20 degrees of abduction, 20 degrees of external rotation, 10 degrees of posterior extension, etc. to prevent artificial joint dislocation.
The details are as follows.
1) Do not sit on a low bench, sofa, bed, toilet, etc., and do not squat. (Ensure that the hip is higher than the knee)
2) Do not cross your legs, play cross-legged, cross your thighs, etc.
3) No turning over when resting in bed, and a soft pillow with a thickness of 20-25 cm after compression between the two thighs.
4) When lying down, do not put a potty, air ring, pillow, etc. with a thickness greater than 5 cm behind the hip to prevent the hip joint from being excessively posteriorly extended.
5) Do not turn sideways to the healthy side to get things or answer the phone when sitting or lying down.
4. Enhance resistance and prevent infectious diseases. If you have tooth extraction, oral skin infection, gastrointestinal tract infection, lung infection or any other infectious diseases that may occur or have occurred, be sure to actively treat them to prevent infection of the artificial joint. And it is best to consult your surgeon.
5. The following tests and treatments must be performed and antimicrobials must be used to prevent the risk of possible infections
1) Cystoscopy, colonoscopy, proctoscopy;
2) Dentistry treatment including dental cleaning;
3) Any kind of surgery;
4) indwelling catheter
6) Muscle exercise: straight leg raise (hip flexion less than 20 degrees, the patient has been taught during hospitalization), hold for 5 seconds each time, 15-30 times per group, 6 groups per day. Prohibit strenuous exercise such as strenuous running, jumping, climbing, etc.
7. Overweight patients should reduce their body weight appropriately. Take exercise that does not increase the load on the hip joint, such as swimming, etc.
8, prevention and control of osteoporosis, can be regular (every 3-6 months) to the osteoporosis clinic follow-up treatment. If patients have combined hypertension, coronary heart disease, chronic bronchitis, diabetes, cerebral infarction, etc., please follow up regularly at cardiovascular medicine, cardiovascular medicine, pulmonary medicine, endocrinology, neurology outpatient clinics.
9.Prevent deep vein thrombosis: active extension and flexion of ankle joint, active contraction of quadriceps muscle (patients have been taught during hospitalization); wear elastic stockings when standing for a long time; do the above exercises or walk regularly when standing, sitting or lying for a long time, such as long-distance travel (by airplane, car, etc.); consult doctors and use preventive drugs as appropriate for high-risk patients (such as obese, hypertensive, diabetic, patients with multiple hip surgeries, etc.).
10. Outpatient follow-up: 6 weeks, 3 months, 6 months, 1 year after surgery, and every 6 months or 1 year thereafter. Any discomfort or lesion that may be related to the joint must be followed up in an emergency or outpatient clinic.